DVA HEALTHCARE RENAL CARE INC
NPI: 1578525614
· LANCASTER, SC 29720
· 261QE0700X
$339K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,040 |
$148K |
| 2019 |
8,671 |
$64K |
| 2020 |
13,136 |
$46K |
| 2021 |
11,014 |
$44K |
| 2022 |
10,733 |
$27K |
| 2023 |
4,695 |
$5K |
| 2024 |
1,988 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4657 |
Syringe w/wo needle |
3,292 |
1,664 |
$169K |
| 90935 |
|
24,015 |
2,196 |
$116K |
| Q4081 |
Epoetin alfa, 100 units esrd |
9,064 |
1,364 |
$47K |
| J1756 |
Iron sucrose injection |
2,809 |
870 |
$3K |
| J0604 |
Cinacalcet, esrd on dialysis |
100 |
86 |
$1K |
| 83970 |
|
1,165 |
1,026 |
$1K |
| J1270 |
Injection, doxercalciferol |
6,843 |
884 |
$451.29 |
| 82108 |
|
497 |
434 |
$384.06 |
| 82728 |
|
681 |
592 |
$348.09 |
| 83550 |
|
675 |
596 |
$246.22 |
| J0887 |
Epoetin beta esrd use |
46 |
24 |
$244.50 |
| 83540 |
|
693 |
608 |
$186.85 |
| 85045 |
|
1,331 |
1,150 |
$132.85 |
| 0001A |
|
13 |
12 |
$130.22 |
| 85041 |
|
1,361 |
1,179 |
$103.66 |
| 85048 |
|
1,328 |
1,149 |
$83.40 |
| 0124A |
|
16 |
14 |
$79.48 |
| G0499 |
Hepb screen high risk indiv |
275 |
143 |
$78.07 |
| 90674 |
|
42 |
42 |
$53.48 |
| G0008 |
Admin influenza virus vac |
31 |
31 |
$0.00 |